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Managing problem behaviors of elderly patients

M Oberleder

    Hospital & Community Psychiatry
    |May 1, 1976
    PubMed
    Summary

    Problem behaviors in elderly residents are often symptoms of underlying issues like unresolved conflicts or loss of life roles. Understanding personality regression under stress helps staff manage these behaviors effectively through behavior modification and emotional support.

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    Area of Science:

    • Gerontology
    • Psychology
    • Healthcare Management

    Background:

    • Nursing home staff require ongoing education regarding the root causes of challenging behaviors in elderly residents.
    • Many behaviors labeled as 'senile' stem from deeper psychological and social issues, not just age-related decline.

    Purpose of the Study:

    • To provide a framework for nursing home staff to understand and manage problem behaviors in the elderly.
    • To highlight the role of personality regression under stress in manifesting difficult behaviors.

    Main Methods:

    • Review of underlying psychological and social factors contributing to behavioral issues in the elderly.
    • Application of personality regression theory to understand 'senile' behaviors.
    • Illustration of behavior modification techniques, roleplaying, and emotional ventilation for staff intervention.

    Main Results:

    • Problem behaviors in the elderly are frequently symptomatic of unresolved conflicts, loss of life roles, and anxieties about illness and death.
    • Personality regression under stress offers a useful conceptual model for staff to interpret and address behaviors like incoherence, incontinence, ritualism, and inappropriate sexual conduct.
    • Nonprofessional staff can effectively assist residents in adjusting by employing behavior modification, roleplaying, and facilitating emotional expression.

    Conclusions:

    • Staff education on the psychological underpinnings of elderly behavior is crucial for effective care.
    • Interventions focusing on resident emotional well-being and adaptive coping mechanisms can improve adjustment and reduce challenging behaviors.
    • A supportive and understanding approach, informed by psychological principles, enhances the quality of care for nursing home residents.

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